Individual
JUAN G OLIVAREZ JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1207 E CANADIAN DR, PHARR, TX 78577-7794
(956) 821-8195
Mailing address
1207 E CANADIAN DR, PHARR, TX 78577-7794
(956) 821-8195
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
847337
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790847531
—
TX
Enumeration date
07/25/2018
Last updated
04/03/2020
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